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I'm on an insulin pump, so I only use short acting. (The pumps basal rate does the same thing that a long acting insulin does, but it does it using small continual doses of short acting insulin). I am currently using Novolog, like you.

I've used all different types over the years - from way back in the 1980s to now. Recently I was on Apidra until my insurance made me switch to Novolog. Luckily I've had great success with Novolog. If I ever went off the pump, I think I would ask for Tresiba too - I've heard really good things about it. It wasn't around when I was on injections, so I used Lantus back then. It didn't work that well for me (which is a big reason why I chose to start pumping).

It can just be a matter of finding which insulin works best in your body and which is covered by your insurance.

I've used Novolog ever since I started pumping 12 years ago. It seems fine but I really look forward to the release of the next generation of insulins which promise to work faster. I have never used Tresiba but read that it is a great basal insulin. I do not have insurance that will cover Tresiba and my most economical route is to stick with a pump. I have decided to switch to Humalog for a while to just do something different. Some people are very sensitive to changes in insulin, but it doesn't matter a lot to me.

I used to use Lantus as slow acting and NovoLog as fast acting. Now, I only use NovoLog in my pump, and I don't need Lantus anymore. Tresiba is a newer insulin. I think it has a longer action time-Lantus lasts around 24 hrs, Tresiba lasts longer, like 42 hours, and I think you can get it double concentration, so maybe good for those who require more insulin/insulin resistant. I haven't used it, but I have a Type 1 diabetic friend who just took herself off her pump, and her doctor has put her on Tresiba.

You know Glenna, I have been T1D for 35+ years, so I have used just about everything under the sun. lol I am currently using Novolog in my insulin pump. It is the brand my insurance pays for so not much choice in the matter. BUT I have found over the 10-15 years that I have been switched back and forth from Novolog to Humalog and back, quite often actually, Novolog NOW does a better job of helping my control. When i was in a much younger body, about 20 years ago, Humalog did a better job. I don't use any long acting insulin because my insulin pump is programmed to handle the needs long term.

I have used beef R and U, pork R and U, humulin (name used before humalog, same company), and I even agreed after 15 years to go back to multiple shots daily for 6 months to see if we could get me back in control. At that time I used Humalog for rapid response and she tried Lantus for long acting. Interestingly enough it turns out that I have alergic reactions on Lantur and it is no longer an option for treatment.

T1D symptoms, management, and treatments can and do change as you age. Your body changes as you age, so this makes perfect sense, right? I assumed for many, many years that once we found a good treatment we were set till the end. HA! Not even close to the truth! So if you test your bg and it is low but you didn't and even don't still feel shaky and sweaty, don't feel confused. It may be your body has a totally different signal to give you now. I very seldom get shaky and sweaty until I am below 40 anymore. I feel nauseated now. So my tummy feels sick, I do not assume it is related to my gastroparesis until AFTER checking my bg to make sure it is in a reasonable range.

When I take pump breaks, I use Levemir for long-acting and Novolog for short-acting. I have used Lantus in the past, that did not work very well for me.

May will be 7 years since I was diagnosed.. it changes often! haha. I really have found the best BG levels with a low carb diet and my insulin pump. The pump also makes it a lot easier to account for goodies/treats. It is a lot of moderation! Good luck.